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Metabolic surgery should be considered as a treatment option in adults with type 2 diabetes who are appropriate surgical candidates with a BMI 40.0 kg/m 2 (BMI 37.5 kg/m 2 in people of Asian ancestry) or a BMI of 35.039.9 kg/m 2 (32.537.4 kg/m 2 in people of Asian ancestry) who do not achieve durable weight loss and improvement in comorbidities (including hyperglycaemia) with non-surgical methods

Certain compounds are highly sensitive to environmental changes, including pH fluctuations and microbial exposure